Mr. Vann testified on his own behalf and presented the following exhibits, all of which were admitted into evidence:
Exhibit A - Deposition, P. Brent Koprivica MD, August 02, 2010, with exhibits attached.
Exhibit B - Deposition, Michael Dreiling, July 19, 2010
Exhibit C - Transcript of KS Settlement hearing, February 20, 2009
Exhibit D - List of Current left shoulder complaints
Exhibit E - List of physical complaints to right and left knees before February 01, 2007
Exhibit F - List of physical complaints to right wrist before February 01, 2007
Exhibit G - List of physical complaints to the right shoulder before February 01, 2007
Exhibit H - List of physical complaints to Low Back before February 1, 2007
Exhibit I - A \& E Termination letter dated September 21, 2007
The Second Injury Fund did not present any additional evidence.
Based on the above exhibits and the testimony of Mr. Vann, I make the following findings:
Mr. Vann is a, 63-year old gentleman. Mr. Vann graduated high school in 1964 from Boy's Town in the State of Nebraska. Other than a training course that Mr. Vann completed through Trans-World Airlines in the early 1990's related to engine mechanics, Mr. Vann has had no vocational training and has no typing or computer skills.
Mr. Vann has primarily worked in labor type jobs. Over the last 15 years Mr. Vann's jobs have included: fabricator, asbestos removal laborer, railroad worker, animal control officer, auto-parts stocker, parts inspector, airplane cleaner, dump truck driver, maintenance mechanic and delivery driver.
At the time of the accident, Mr. Vann was working at Custom Manufacturing Technologies. He began at Custom Manufacturing Technologies as a delivery driver in 2006 after working similar jobs at FedEx Home Delivery, Straight Shot Express and J.W.I Supply.
On February 01, 2007, Mr. Vann was trying to close the overhead door of his trailer by pulling on a strap with his left arm when he felt a pop and immediate pain in his shoulder. Of note, Mr. Vann testified that although he is right hand dominant, he was pulling on the strap with his left arm because of permanent limitations with his right shoulder that are the outgrowth of an injury that he sustained in 2002.
After his injury, Mr. Vann notified his employer and was directed to Occupational Health Services for treatment on February 02, 2007. The note from OHS records that on February 01, 2007 Mr. Vann was "standing at the rear of his truck and lifting up over his head with his left arm to close the sliding rear drawer (sic) of his truck. The door was stuck and he had to yank on the strap. This caused some immediate darting pain in the front of his left shoulder...He has never had trouble with his shoulder in the past." This is consistent with Mr. Vann's testimony and Mr. Vann testified that the note was an accurate description of how the work accident occurred.
Following the initial treatment that Mr. Vann received at OHS he was referred for physical therapy. Unfortunately, the physical therapy was unsuccessful in permanently eliminating Mr. Vann's left shoulder complaints.
Because of his ongoing complaints Mr. Vann was referred to the Diagnostic Radiology institute of Kansas City for an MRI of his left shoulder on February 23, 2007. The impressions of the radiologist were "1. Rotator cuff tear, 2. Acromioclavicular degenerative change, 3. Degenerative change in the humeral head with subchondral cyst formation, 4. Small shoulder joint effusion."
Following the results of the MRI Mr. Vann was referred to Dr. Prem Parmar who performed a "left arthroscopic rotator cuff repair, subacromial decompression, distal clavicle excision and glenohumeral debridement of type 1 SLAP tear and posterior labral tear" on May 01, 2007.
Unfortunately, the surgery performed on May 01, 2007 was unsuccessful in resolving Mr. Vann's left shoulder complaints. As a result, Mr. Vann was scheduled for an MRI left shoulder arthrogram on September 12, 2007. According to the radiologist's report, the MRI arthrogram revealed postoperative and degenerative changes as well as "...thickening, increased signal and irregularity of the distal supraspinatus tendon at its insertion consistent with tendonopathy and/or partial tear. Fluid is seen in the subacromial/subdeltoid bursa...which may be postoperative in nature versus tiny pinhole full thickness tear of the supraspinatus tendon."
Due to the abnormalities noted on the September 12, 2007 MRI arthrogram, Mr. Vann underwent a second left shoulder surgery on November 27, 2007. On that date, Dr. Parmar performed a "left shoulder arthroscopic rotator cuff repair and glenohumeral debridement" for a "left shoulder partial-thickness rotator cuff tear of the supraspinatuspartial articular supraspinatus tendon avulsion (PASTA) lesion."
Mr. Vann testified that the second left shoulder surgery performed by Dr. Parmar was not successful in completely resolving his left shoulder complaints. However, despite Mr. Vann's ongoing left shoulder complaints he was relea